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General NPI Number Information
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NPI Number | 1821857822
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Entity Type | Individual
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Provider Name | MORGAN JEAN HEIMES
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Gender | Female
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Dates
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Enumeration Date | 03/13/2024
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 4801 E LINWOOD BLVD
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City | KANSAS CITY
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State | MO
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Zip | 64128-2226
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Country | US
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Telephone | 816-861-4700
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Fax | 816-922-3382
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Provider Business Mailing Address
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Address Line | 2009 KOENIGSTEIN AVE
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City | NORFOLK
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State | NE
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Zip | 68701-3502
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Country | US
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Telephone | 402-649-9645
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2024016866
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License Number State | MO
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